Jackson, Kiesha

Jackson, Kiesha is an individual health care provider with primary practice located at 30000 Hiveley St , Inkster MI 48141-1089. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Jackson, Kiesha can be contacted via phone (313) 218-6832.

Contact Information

Primary practice address
30000 Hiveley St Inkster MI 48141-1089
Phone: (313) 218-6832
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1477127611
LBN Legal business name Jackson, Kiesha
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 13th, 2021
Last updated Jun 16th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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